Active NPI
Abbie Lynn Loughran, LMSW
- Social Worker
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 075939-1
- Practice address
- 462 1St Ave
6 West Room 55
New York, NY 10016-9196 - Phone
- (212) 562-3645
- Fax
- (212) 562-3606
- NPI assigned
- Mar 30, 2011
- Last updated
- Mar 30, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 075939-1 | NY | Primary |
Addresses
Primary practice location
462 1St Ave
6 West Room 55
New York, NY 10016-9196
Mailing address
117 Walbrooke Ave
Staten Island, NY 10301-2654
Phone (917) 626-0403
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1945 Route 33
Neptune, NJ 07753-4859
Phone (732) 920-3434
58 Maple Ave
Red Bank, NJ 07701-1618
Phone (732) 920-3434
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 075939-1 | NY | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shore Psychological Healthcare LLC | Current | Accepting new patients |
Locations
220 Jack Martin Blvd
#E2
Brick, NJ 08724
58 Maple Ave
Red Bank, NJ 07701
1945 State Route 33
Wall Township, NJ 07753
Phone (732) 776-2333
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Psychologist
- Brick, NJ
- NPI 1477563534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301443200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1301443200000",
"number": "1114216215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 WALBROOKE AVE",
"city": "STATEN ISLAND",
"state": "NY",
"postal_code": "103012654",
"telephone_number": "917-626-0403"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "462 1ST AVE",
"address_2": "6 WEST ROOM 55",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100169196",
"telephone_number": "212-562-3645",
"fax_number": "212-562-3606"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOUGHRAN",
"first_name": "ABBIE",
"middle_name": "LYNN",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-30",
"last_updated": "2011-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "075939-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.